CONCEALED PENIS AND URINARY RETENTION IN A CHILD WITH SEVERE PHIMOSIS : A CASE REPORT

M.C. IGBOKWE, S. T. FAYE, M. NDOYE, M JALLOH

Résumé

Abstract

Background : Phimosis is a common indication for circumcision. The finding of a concealed penis with significant penile abscess collection and urinary retention in a male infant following circumcision at a peripheral center is indeed a rare occurrence.

Presentation : A 1 year old male child was rushed to the Children emergency unit with acute urinary retention, grossly swollen and concealed penis. There was a preceeding history of poor urinary stream four weeks following circumcision at a peripheral center.

Examination revealed a child in acute urinary retention with a grossly swollen, soft, fluctuant and tender mass concealing his penis. Abdomino pelvic Ultrasound scan revealed a distended urinary bladder with evidence of back pressure effects on both kidneys.

He had immediate urinary diversion via a suprapubic cystostomy and subsequently had a re-do circumcision.

Conclusion : Poor circumcision techniques can lead to a wide array of complications. Circumcision is better carried out by well trained personnel.